Evaluations
SPOTLIGHT & RELEASES
12/20/2023: CMS released the Third Brief Evaluation Report for the New York Integrated Appeals and Grievances demonstration, the Third Evaluation Reports for the Rhode Island (RI) & South Carolina (SC) capitated model demonstration, & the Preliminary Third Evaluation Report for the Texas (TX) capitated model demonstration, under the Medicare-Medicaid Financial Alignment Initiative along with associated Findings At-A-Glance for RI, SC, & TX. More information is available below. |
12/15/2023: CMS released the Beneficiary Experience Research Results for the Integrated Appeals and Grievances Demonstration in New York (10/01/2022). More information is available below. |
10/05/2023: CMS released Evaluation & Cost Savings Reports, with associated Findings at a Glance, for model demonstrations in New York, Ohio, & Washington under the Medicare-Medicaid Financial Alignment Initiative. More information is available below. |
All demonstrations will be rigorously evaluated on their ability to improve quality and reduce costs. The Centers for Medicare & Medicaid Services (CMS) has contracted with an external evaluator, RTI International, to lead the evaluation of each individual demonstration. While each state-level evaluation may evolve over time, the documents below show the evaluation strategies for approved demonstrations and for the overall initiative.
State-specific Evaluation Reports
California
- Third (Preliminary) Evaluation Report for the California capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (04/12/2023)
- Second (Preliminary) Evaluation Report for the California capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/15/2021)
- First Evaluation Report for the California capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/29/2018)
Colorado
Illinois
- Third (Preliminary) Evaluation Report for the Illinois capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (04/12/2023)
- Second Evaluation Report for the Illinois capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/15/2021)
- First Evaluation Report for the Illinois capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/29/2018)
Massachusetts
- Fifth (Preliminary) Evaluation Report for the Massachusetts capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (04/12/2023)
- Fourth (Preliminary) Evaluation Report from the Massachusetts capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/15/2021)
- Third Evaluation Report from the Massachusetts capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (05/24/2019)
- Second Evaluation Report from the Massachusetts capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (05/24/2019)
- First Annual Report for the Massachusetts capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/20/2017)
Michigan
- Second Evaluation Report for the Michigan capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (03/08/2022)
- First Evaluation Report for the Michigan capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)
Minnesota
- Third Evaluation Report for the Minnesota Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience (07/07/2021)
- Second Evaluation Report for the Minnesota Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience (11/29/2018)
- First Evaluation Report for the Minnesota Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience (10/20/2017)
New York
- Third Evaluation Report for the New York Fully Integrated Duals Advantage - Intellectual and Developmental Disabilities (NY FIDA-IDD) Demonstration under the Medicare-Medicaid Financial Alignment Initiative (08/09/2023)
- Second Brief Evaluation Report for the New York Integrated Appeals and Grievances Demonstration (04/12/2023)
- Combined First and Second Evaluation Report for the New York Fully Integrated Duals Advantage - Intellectual and Developmental Disabilities (NY FIDA-IDD) Demonstration under the Medicare-Medicaid Financial Alignment Initiative (06/01/2022)
- First Brief Evaluation Report for the New York Integrated Appeals and Grievances Demonstration (03/08/2022)
- Combined Second and Third Evaluation Report for the New York Fully Integrated Duals Advantage (FIDA) capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)
- First Evaluation Report for the New York Fully Integrated Duals Advantage (FIDA) capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)
Ohio
- Third Evaluation Report for the Ohio capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/05/2023)
- Second Evaluation Report for the Ohio capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (03/08/2022)
- First Evaluation Report for the Ohio capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/29/2018)
Rhode Island
- Third Evaluation Report for the Rhode Island capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (12/20/2023)
- Beneficiary Experience Research Results for the Integrated Care Initiative Demonstration in Rhode Island (10/01/2022) (PDF)
- Combined First and Second Evaluation Report for the Rhode Island capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (01/11/2022)
South Carolina
- Third Evaluation Report for the South Carolina capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (12/20/2023)
- Second Evaluation Report for the South Carolina capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (01/11/2022)
- First Evaluation Report for the South Carolina capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)
Virginia
Texas
- Preliminary Third Evaluation Report for the Texas capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (12/20/2023)
- Preliminary Second Evaluation Report for the Texas capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (06/01/2022)
- First Evaluation Report for the Texas capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (05/24/2019)
Washington
- Demonstration Year 7 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (04/12/2023)
- Fifth Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (01/11/2022)
- Fourth Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)
- Third Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)
- Second Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/29/2018)
- First Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/20/2017)
Managed fee-for-service Model Actuarial Reports
Colorado
- Concluding Demonstration Year 2 and Demonstration Year 3 Medicare Cost Savings Report for the Colorado managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)
- Demonstration Year 1 Final and Demonstration Year 2 Preliminary Medicare Cost Savings Report for the Colorado managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (05/24/2019)
- Demonstration Year 1 Preliminary Medicare Cost Savings Report for the Colorado managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/20/2017)
Washington
- Final Demonstration Year 7 and Preliminary Demonstration Year 8 Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/05/2023)
- Demonstration Year 5 Final and Demonstration Year 6 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/15/2021)
- Demonstration Year 4 Final and Demonstration Year 5 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)
- Demonstration Year 3 Final and Demonstration Year 4 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)
- Demonstration Year 2 Final and Demonstration Year 3 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/16/2018)
- Demonstration Year 1 Final and Demonstration Year 2 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/28/2017)
Aggregate Evaluation Reports
- Addressing Social Determinants of Health in Demonstrations Under the Financial Alignment Initiative (07/07/2021)
- Beneficiary Experience: Early Findings from Focus Groups with Enrollees Participating in the Financial Alignment Initiative (03/21/2017)
- Early Findings on Care Coordination in capitated Medicare-Medicaid Plans under the Financial Alignment Initiative (03/21/2017)
- Special Populations Enrolled in Demonstrations under the Financial Alignment Initiative (03/21/2017)
- Report on Early Implementation of the Demonstrations under the Medicare-Medicaid Financial Alignment Initiative (01/21/2016)
Aggregate Evaluation Plan
State-specific Evaluation Design Plans
- California Evaluation Design Plan (PDF)
- Colorado Evaluation Design Plan (PDF)
- Illinois Evaluation Design Plan (PDF)
- Massachusetts Evaluation Design Plan (PDF)
- Michigan Evaluation Design Plan (PDF)
- Minnesota Evaluation Design Plan (PDF)
- New York FIDA Evaluation Design Plan (PDF)
- New York FIDA IDD Evaluation Design Plan (PDF)
- Ohio Evaluation Design Plan (PDF)
- Rhode Island Evaluation Design Plan (PDF)
- South Carolina Evaluation Design Plan (PDF)
- Texas Evaluation Design Plan (PDF)
- Virginia Evaluation Design Plan (PDF)
- Washington Managed Fee-for-Service Evaluation Design Plan (PDF)